HomeMy WebLinkAbout1960 FEDERAL AVE - Building Permits PROJECTADORESS: 1960 FEDERAL AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: d U4991f
OWNER'S NAME: BRYAN HELEN R
ADDRESS: SAN 8D IESCADERO AVE #,CA330207 PERMIT NO: B 049918 PLAN CHECK NO: 06713-90 S GOVI : N SUFI): N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: OTH
* 619-223-1641
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : PATCHING DRYWALL, REPLACE DOORS 6 WINDOW SQ FT: 2, 000
\ ADDRESS: UNIT:
CLAIM VALUE: 2, 000 , 00 CALL-VALUE: 2, 000 , 00 GROUP OCC: R-3 /
PERMITTEE: MICHAEL CLEAVINGER ( 714 ) 565-4525
ADDRESS: 211 BROADWAY COMMENTS: NO PLANS
C.M. CA 92627 +F>ESE***x*4***x*******+F**TP****+FSA***yea¢**+ ********>ESE*IF********>EBF+Fx>F+F****DFTt*********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING H E Q U I R E M E -N T S
7000)of Division 3 of the Business and Professions Code,and my license os in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
BUI
Date: Signature: FRNT: FT MAIN
INBUILDREAR:NG FT IN FRNT: FZCESSINYREARLDZNG FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C)-
=nLICYN3.: EXP.DATE: PARKING REQ• PROV: PARCEL: 42251107 ZNE: REF NO:
MraeY: PLANNING NOtES>
Certified copy is hereby furnished. El Certified copy is filed with the city Building Division.
Date: Applicant: D E V E L O P M E N T SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issw^ all not employ any person in any manner so as to became, ZONING APPROVED BY •
subject to the Workers'Compensation Laws Carni // DATE:
Dale: l t3.�e`i �8ignati — BUILDING APPROVED BY • DATE;
NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions o1 the Labor ` .
Code.you must foDINGwAG AGENCY:
with such provisions this a construction
shall be deemed revoked.y APPLICATION ISSUED BY: DATE: I ` L ' t.
CONK thisp permit
LENDING AGENCY: thereby affirm that there isatonstruction lending agency for the performance of the work for ****************************************** * *********************** *oe * ****
which this LENDER:
issued(Section 3097.Civ.C). *********************************M**_*******************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: thereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC.- MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 45 . 00 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON -RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 29 . 25
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE - •
any applicant for a permit subjects the applicant to a civil penalty oI not more than five hundred dollars(3500).
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the TOTALS----> 45 . 50 0. 00 29 . 25 74 . 75 74 . 75 . 00
—J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property wfm builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 74 .75 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
• \ for the purpose of sale). 45 . 00 , 50 29 . 25
I.as owner of the property,am exclusive) contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ,KK,N,***************,*******,***,**,***.,*********,************************,*************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F •E E BREAKDOWN
❑ lam under Section: B.a P C.
for Isisis reason: TYPE QTY DESCRIPTION UNIT COST ' TOTAL COST
Date: ‘..L.4-371/4.e1.1:, Ome 7 SFR 2000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 2, 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF. FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions,
Date: Applicant: •-
I hereby certify that I have read thrs application and state that the above information is correct.I agree to comply with all city and county , 01 00074113-Q007411? TOT 45,50
' ordinances and state laws relating to building co [ruction and hereby aut ..' representatives of this city to enter upon the above-me ioned \� DATE: 11/13/90 TRW: 15:01
property for inspection purposes
Dale: L ��\� Signature: r `
Driver's License or Social Security x: V" • \, 01 00074120-00074120 1-TLE1\ DATE: 11/13/90 TIME: 15:02 2' -2
''
1641-45 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
1 pt 4 SPA
CONSTRUCTION AND PLANNING
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
.3. Electrical Conduit Utility-Undrgrnd. 54. Forms •
-4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5:: Steel Reinforcement 56. Rough Plumbing & Pressure Test
r 6::Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
7.' Footings 58. Electrical Conduit•Undrgrnd. -
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11cProperty Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-
20! Rough Factory Fireplace i ' • - -' '.1 - - • APPROVAES : Permit# ' -
21.. Ducts,in Structure . • . 70. Underground Hydro
22. Ducts, Ventilating : _ ' H ,i : 71. Product Piping 0 Gas 0 Oil
23: Gas Pipe=Rough & Test c' i ,t - - t . •72. Underground Flush .
24: Roof Framing , i . . 73:'Undergrri 1.Storage TankD Gas ❑Oil -
25. Roof Sheathing - - _ . t . 74. Overhead'Hydro
26. T-Bar Ceiling (Structural) &.Monocoat I _ !2' t rl* 75. Dry Chemical - ` ; '
27: Frame and Flashing `I-/L�.fe �, 76. Dcry Standpipe ' ;i
28. Lathing.& Siding • . * -• I -•' + 77:' FIXED SYSTEM FINAL' , „,
29. Insulation ' •; I Ii a 78.; FIRE PREV. FINAL i . . *
•
30. Drywall Nailing - .11.F/q4 & . ' ' :HEALTI DEPT.•REQUIREMENT
31. Plaster Brown Coat 2 , I I; _; , 7P FINAL INSPECTION - C7 I„
32. Electrical Power Meter-Final I I: : i 80. FOOD CERTIF•fCATE ISSUED
33' Final Electric '� I - Notes: :,' -
34: Final Heating & Air Conditioning 7 - V- I I* :. - - .
35: Final Gas Pipe-Test ;.i= I '. //-/[f le -' 4€ r� ,--•lO�
36. Hood or Canopy - • , r s , - _ -
Y
37.`Final Factory Fireplace I I, 'r
38:. Final Plumbing --r I : : , a -
-
39: Water Service:Final • i I I. . . - J.
40;Gas Service-Final . _ . • r I I I.
41: Solar Domestic-Final" - I I h ' �•t- ,
•
42'. Backflow Prevente i I I :-'
43. Backflow Irrigation - - - : ,
44. Landscape Irrigation System - : : r - - _ '
„ -
•:45:-Sound Attenuation - - . , -
I. .. 'I - 2. • -
46. Handicap Regulations '-' _•
47: FINAL STRUCTURE & BUILDING
48. FINAL PLANNING ; n I 1 .
.249. Electric Release to-Edison I I: . - -
',' 50. Gas Rel•ease to Southern California Gas Co . I I I: •1 -
51. CERTIFICATE OF OCCUPANCY i f t I l= JI
No. Date
PROJECTADDRESS: 1960 FEDERAL AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT . PL/AM NO: M (8044 ..
OWNER'S NAME: BRYAN HELEN R
ADDRESS: 4878 PESCADERO AVE #302 PERMIT NO: M 050443 PLAN CHECK NO: N (,UVJ : N S SPF: N
SAN DIEGO,CA 92107
CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ALT
619-223-1641
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE WALL HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE: MICHAEL CLEAVINGER ( 714 ) 565-4525
ADDRESS: 211 BROADWAY COMMENTS: REFER TO #B49918
C.M. CA 92627 **R**** *MXYkif3EkiE****il*dEYk?(-k**** *1EiFifiE1F)FiE?fifi4iEifiE%if3f9E#)E#X>E***4f7Ed 1()EiE)E#IEifif3f#***MX**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I - 'ensed under provisions of Chapter 9(commencing with Section Z ON INC R EQUIR EMENTS
7000)of Division 3 of the Business and Professions Code.and r y lice rse is in full force and effect. SE TB ACK S .
CITY LIC.: 049640 STATE LIG; 9 4 ' 4 'LASS: 6 •/
�— \ Signature. MAIN BUILDING ACCESSORY BUILDING
Dare: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN ' LEFT: FT IN RGHT: FT IN
Compensation 5 [ rtili try thereof(Section 3800.Lab
4"4. f�i #1 F9 '''' /
',DUCT NO.: STATE EXP.DATE: PARKING REQ: PROV: • PARCEL: 42251107 ZNE: REF NO:
COMPANY: �8 PLANNING NOTES>
0 Certified copy is hereby furnished. Certified py is ed wdh he city Building Division. >
***if*lF*351E3Fyfif#iEfFiEiEY)Effifif*****LE*X-*iF****#X-**4 eXT6*IFfflE****#+c*** elf-******** T4**ifjfiF******
NGR� Applicant. DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be cont eted if the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become ZONING APPROVED BY DATE:
subject to the Workers'Compensation Laws of California.
Date: Signature: BUILDING APPROVED BY : DATE;
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICATION ISSUED BY• ' ' 7 Pr DATE: \� j
CONSTRUCTION
ani LENDING AGENCY: Thereby.Civ.Caffirm that there is a construction lending agency for the performance of the work for *****************************************it illEEE ititiriF3Fit***Tr?tt'f'friFlE** ***lf** T it���^^^*44****
9 le
which tnis permit is issued(Section 3097,Civ.q.
LENDER:
**********RCE*#a:�RR*R**** R
R * ifR** *
R * R**************** B * *
RRRRR**RBB** R* ***RR***RRR+'.-
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:7v
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9,00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SNIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
ISSUE FEE 15. 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155006 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS————> 9 . 00 15 . 00 0. 00 24 . 00 24 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
S his or her own employees,provided that such improvements are not intended or offered for sale.I1,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 24 . 00 OVER/SHORT• 00
improvement is sold within one year of completion.the owner win have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale), 24 . 00
I,as owner of the property.am exclusive) contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ******R****R****RR******R******-********************R***R.***.***X.R****AE****R***';,*
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Workers Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
am exempt under Section: B.8 P.C.
❑
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the-Air-bar Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and slate that the abov•'• • I ation is correct.I agree to comply with all city and county
ordinances and state laws relating to building cstruction and hereby. Mot rel esentatives of this city to enter upon the above-mentionpropeed/ 60077,51-00077151
l// I/ 0I TOT :a_\�0
Date. `m inspection purposes. DATE: 02/02-S1 TINE: L4:10
Date: \ '—�'L •_ . Signattc __ _ /�
Driver's License or Social Security
1641-46 white—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor •
CONSTRUCTION AND PLANNING F & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7.'Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumping 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • APPROVALS Permit#
21. Ducts,in Structure • 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank•O Gas 0 Oil
25. Roof Sheathing . 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - - 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning /Mg/ LEO
35: Final Gas Pipe-Test
. 36. Hood or Canopy
37. Final Factory ireplace
38. Final Plum it
•
39. Water Service-Final - •
40. Gas Service-Final
41. Solar Domestic-Final.
42: Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System , - ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison • •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
PROJECT ADDRESS: 1960 FEDERAL AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 049697
OWNER S NAME: BRYAN HELEN R
ADDRESS; 4878 PESCADERO AVE #302 PERMIT NO: P 049697 PLAN CHECK NO: N GOVT: N SUPP: N
SAN DIEGO,CA ' 92107 •
CONSTRUCTION TYPE: ' PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER:
619-223-1641
gEG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : REPLACE PLUMBING FIXTURES • SQ FT;
PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: /
ADDRESS: MICHAEL CLEAVINGER ( 714 ) 565-4525
211 BROADWAY • COMMENTS: NO STRUCTURAL WORK PERMITTED ' S 9.
C M CA. 9227 ********4******************************1* ** *** *****************************
LICENSED CONTRACTOR DICLAAATIDN: I hereby affirm Thal I am licensed under provisions of hapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license i in full force and effect.
CITY LIC.: STATE LIC.: •
S E T B A C K S
049640 594924 12C36
'-- Date:�0 ." ��_io Signature:— _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800, Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
'QLICY NO.: 1200021-90 EXP.DATE: 05/01 /91
COMPANY: STATE PARKING REQ• PROV: PARCEL : 42251107 ZNE: REF NO;
❑ Certified copy is hereby furnished. EJIC Certified copy is tiled with the city Building Division. PLANNING NOTES>
>
i Date: \ate c_ rc' ?tip APpbcan _ *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be c mpleted if the permit is for one hundred($100)or less). DEVELOPMENTSERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California ZONING APPROVED BY ,
DATE:
Dale: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: -! i' DATE• ^^^^^ 9
which this permit is issued(Section 3097.Civ.C). {(****.*.)O{(.)(**.***.**.***.*******.***{{****.R.****J.R GJf IRF 4***************1E*1F*1(**4*iF** FFF#FF *aF
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed %T 55 Z SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business a.
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 3,00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3 , 00 0 , 00 5 ,00 5 .00 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 5.00 OVER/SHORT: ,00
forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5. 00
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of proper) who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware *,*.*.**.*.*.*.*.****,*,*,*.***,*.*,**.*.*,*,***,**,*.*.*,*,*,*,*,*,***,*,*,****,K,**,***,********,**,*,X,**,*,*,*,**,******
that proof of their Worker's Compensation insurance should be provided to me. ' INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C. .
tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: PLU ' 1 LAUNDRY TUB OR WASHER 2 .00 2. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and me requirements for a -
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions
Date'. Applicant: ,
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 01 D0073093-00073093 1-()-r 5.E;
property for inspection purposes �^
`3 DATE: 10/30/90 TIME: 08:33
/.—Date: AQkay _ Signature: (��
Driver's License or Social Security a:
i641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTrUCTION AND PLANNING�t f & SPA
APPROVALS Permit# \� Date Inspector APPROVALS Permit # Date Inspector
ti •;v
1. T-,e:nporary Electrical Service or Pole 52. Pool & Equipment Location
•2. Soil Pipe-Undrgrnd. - 1 pt, 53. Steel Reinforcement
3..'Electrical Conduit Utility-Undrgrnd • 54. Forms ',
*r4: Electrical Conduit.Undrgrnd. - 55. Electrical Bonding
-5_ Steel Reinforcement 56. Rough Plumbing & Pressure Test u
•6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE
7. 'Footings k. T. - 58. Electrical Conduit-Undrgrnd. r_
8: Foundation .`_ 59. Gas Pipe, 0 Undrgrnd., Test aI -
9. Water Pipe-Undrgrnd. .,-.1 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System • •-• ., 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection \ 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing, 16414(942-- 65. Electrical-Final
ElectricalConduit
15. Rough ��
� 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-• ,i - -
20.:Rough Factory Fireplace ; i--,' _ _ APPROVALS - ;Permit # -
e ! .• r. , - r e - • ,
21.:Ducts,in Structure,t. „ - x , c _., - 70. Underground-Hydro
22. Ducts, Ventilating`;: i - _ - r a r71. Product:Piping ❑"Ga-s 0 Oil
23. Gas,PipetRough & Test �� - `T - '72. Undergroun_d,Flush�=r, C.`24.•Roof Framing: , :• Y - - X73., Undergrnd StoragerTank 0 Gas ❑Oil'
•
25. Roof Sheathing •. _ ' -7. ` ` - '74, Overhead Hydro +.r
26. T-Ban Ceiling (Structural) &Monocoat •, t 75. Dry Chemical -] : ,- _ .
27.'Frame and Flashing' �_�.1.it J 76. Dry Standpipe ,- ;�., '
28.' Lathing &Siding ' '" -
- 77.�FIXEDSYSTEMiF.LNALr
'29. Insulation - - ' ' "' a • 78•.:FIRE PREV^FINAL- t : !i
.30. Drywall Nailing i;, HEALTH DEPT-REQUIREMENT
'31. Plaster Brown-Coat ' 79. FINAL ISSPECT!Op °
--
32 Electrical Power Meter-Final ! • c5 80..FOOD CERTIFICATE ISSUED
33. Final Electric _ 'Notes: t1 C _;
11
34. Final Heating & Air Conditioning •, ; > • ;: ' x'
l
35.'Final GasPipetTest -i' '771. _.. 1/'...71' "i r. "' `; t *'
, C -2.1.-..-2.1.-.. •• a
_
36. 00d,orudanopy-. _ - : r' ' orf
'H � _ ''-
`37.`Final Factory Fireplace - d i 'r ; * =7
•38. Final•Plumbing 'NIAr . 1 •• • ? „ t ,•'
.39. Water Service-Final : I� �, ,z•
I.
Gas Service-Final _ _ l I 1
`41. Solar Domestic-Final -_ c. k.:F 'l
• ,
'42. Backflow Preventer' - ;.j t; I.
, ;
43. Backflow Irrigation., . - + r ' J -
. - t
`44. Landscape Irrigation System,„,"
(I: ,j, : to - --
45. Sound Attenuation �. + • r • -
46.-Handicap Regulations -. - i ,,. "' •
47. FINAL STRUCTURE & BUILDING - ' - 1
- , , -)i: : �:• - 1
48.'FINAL PLANNING,' %1: .. . 1_
49.'Electric Release to Edison I %
l i. -
'50.-Gas.Release to Southern California Gas Co - I1.--- ' ' `--:-.
`51. CERTIFICATE OF:000UPANCY' r . - - -
No._ - Date
PROJECT ADDRESS: 1960 FEDERAL AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 049591
OWNER'S NAME: BRYAN, HELEN R
ADDRESS: 4878 PESCADERO AVE #302 PERMIT NO: P 049591 PLAN CHECK NO: N GOVT: N SUPP : N
r SAN DIEGO, CA 92107
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT
619-223 1641
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE PLUMBING FIXTURES SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE: MICHAEL CLEAVINGER ( 714 ) 565-4525
ADDRESS: 211 BROADWAY COMMENTS: NO STRUCTURAL WORK PERMITTED
C.M. CA 92627 ***** *7FBF***********x*k6***************F ***kt*>E*x*************kl**+Ekt-x**>Ex-******kl**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N GS ERT E
B QAUC I KRSE M E N T S
7000)of Division 3 of the Business and Professions Cod'.and my' is in full force and effect.
CITY LIC.:0 4 9 6 4 0 STATE LIC.:5 949 14 SSs: C 36
Date: 3��1qn signature:— MAIN BUILDING ACCESSORY BUILDING
.WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certific.te of consent toselainsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRN'T; FT IN REAR: FT IN
' "ompensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
'DLICYNO.: 1200021-90 EXP.DATE: 05/01 /91
COMPANY: STATE PARKING REQ: PROV: PARCEL : 42251107 ZNE: REF NO:
❑ Certified copy is hereby furnished. ® Certified co y is filed v th the dy Building Division. PLANNING NOTES>
>
Date:`.0_0..n10
1(/Applicant: ...� /^\ r ( ********************************************#1E%.****************************M***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not a completed if the permit is Iw one hundred(3100)or less). DEVELOPMENT SERVICES REQUIR EMENT S
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: • .
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY ; DATE• 0'2* a
which thispermit is issued(Section 3097.Civ.C). ******************************* ******** ******#**************** ******* **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 8 ,00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 3 . 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> .PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS—---> 8 . 00 3 . 00 0 . 00 11 . 00 11 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. It.however the building or REVENUE DIVISION TOTALS——> COLLECTED : 11 . 00 OVER/SHORT: . 00
improvement
rptheepurposeolt sold one year of completion.the owner will have me burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 11 .00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)Iicense pursuant to theContractorsState License Law).I am aware ******************************************************.**x********.7E***********..**.
Mat proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN
❑ I am exempt under Section: R.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: PLU 1 BATHTUB 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 SINK, KITCHEN 2 . 00 2 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a PLU 1 WASH BASIN
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from 2 . 00 2 . 00
these provisions. PLU 1 WATER CLOSET (TOILET) 2 . 00 2 . 00
D OF FEES
Date: Applicant:
I hereby certify that I have read this applicab and stale that the above information is correct.I agree to comply with all city and county 'a
ordinances and state laws relating to buildin onstruction a9Qhereby au [[[epresentatives of this aty to enter upon the above. tllioned i Q
property for inspection p`C purposes. ( \ l._7 OCT 23 1990 4
�2�`
Date:\CI Signature: 'r
Driver's License or Social Security a.
Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
[ SOL & SPA
CONSTRUCTION AND PLANNINu
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. TT)-nporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement
.3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
•
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace : , APPROVALS - Permit# • '
21. Ducts, in Structure . .. i - 70. Underground,Hydro
22. Ducts, Ventilating . , • ,71. Product Piping ❑'des ❑Oil -
23. Gas Pipe-Rough & Test ,t t 72. Underground Flush
24. Roof Framing r• , ; 73:'Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing ,t , 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat :: ! 75: 'Dry Chemical ',
27. Frame and Flashing- • •, , 76. Dry Standpipe . ' . i .
28. Lathing & Siding ..0 i 77: FIXED SYSTEM;FINAL'
29. Insulation - • t ' • 78. FIRE PREV. FINAL : . . .
30. Drywall Nailing - ' HEALTH DEPT. REQUIREMENT. ' ry.
31. Plaster Brown Coat . , , , .79. FINAL INSPECTION . •- •
32. Electrical'Power Meter-Final . • 80. .FOOD CERTIFICATE ISSUED x:
33. Final Electric ( Notes: ,
34. Final Heating & Air Conditioning. - , .
r 1
35. 'Final Gas Pipe-Test - • l: ' •
36. Hood or CanoPy t I ' • 4
37. Final Factory Fireplace /' ' ����y/"I. ; '
•
38, Final Plumbing del* {y/ : ' ' i.39. Water Service-Final RC �7.P ' '
40. Gas Service-Final ' , i
41. Solar Domestic-Final • .
42. Backflow Preventer 1, - .
43. Backflow Irrigation - " ' ' 4
44. Landscape irrigation System . •., •
. 45. Sound Attenuation . , . - ',
46. Handicap Regulations - '
•
•
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING I •
49. Electric Release to Edison • '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY , , . I
No. Date
ORANGE COUNTY BUILDING DEPARTMENT . • APPLICATION FOR PERMIT a
636 North Broadway .I D 'q
SANTA ANA, CALIFORNIA - BUILDING.
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO, PERMIT NO.
BUILDING ,
ADDRESS 1960 Federal Ave. ,4/ 5` . . .4��Js ,
SCHOOL DIST. RECEIVED BY . DATE OF APPL. DATE ISSUED
OR TOWN /
NEAREST L, G -)3t__ &_,L�'J 3"
CROSS ST. 19th.St. BUILDING
/
OWNER ALEUT HOMES. INC. ADDRESS l %GO rFgetree ( 14'
MAIL 9363 WILSHIRE BLVD. SCHOOL DIST. ////////� ����
ADDRESS / OR TOWN iee,$"t•
CITY BEVERLY HILLS
TEL. 54361 NEAREST 1n I • -
CROSS ST. (� , f`�/
ARCHITECT OR TEL. ZONE NO. OF TYPE I GROUP
ENGINEER CAIN & MCKERRACHER NO. Sr 640789 1ri / I PLANS
ADDRESS 2110 E. WALNUT ST., PASADENA - c
SETBACK LIN F �$ CENTER OF ST. 5p 1.[+
t
TEL. REAR YARD I SIDE YARD 11 16 --.1 h I
NTRACTORNEWPORT VISTA Co. NO. CR. 54361 APPROVED
•
ADDRESSY DATE
363 WILSHIREWILSNIRE BLVD. , BEV. HILLS CORRECTIONS
LEGAL
DESCRIPTION I LOT NO. 13 I BLOCK 1712
(ATTACH METES 8 BOUNDS/ _
TRACT .
NO.OF
SIZE OF LOT 67 z 110 I NOW ON LOTS 0 •
USE OF I NO. OF I NO. OF - . - .y_ • ._ _
EXISTING BLDG. FAMILIES ROOMS
•
DESCRIPTION OF WORK
NEW I X I ALTERATION I I ADDITION I _ O
A
O
REPAIR I I MOVING I I DEMOLISH I Z
S ZE
BUILDING 351 x 381 ROOMS 5 STORIES 1 NO. OF l'
WALL
COVERING STUCCO I COVVERING OOF COMPO
gNINCI CC —
USE OF NEW
BUILDING RESIDENCE cr...7747CtAiaL-k,
• APPROVALS
FOUNDATION: LOCATION I PECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, �/ �'}
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNING
//.'/4.•-.5 ,J
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
BRACING, BOLTS 7:-//17...t1
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. e-
LATH.
� '
LATH. INT. %�
SIGNATURE OF NEWPORT V 1ST LATH. EXT. �/� v
PERM ITTE
PLASTER. INT. ..yCVg ?4''5�q
AUTHORIZED ACT.
PLASTER. EXT. ^ ?-ft n <
$ 4830.00 P. C. S - MASONRY REINFORCED
FEE r Z _
S BONG BEAM
VALUATION '/' /�P
... ., .., FEE
VALUATION /4.,
FINAL /2•'''//
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